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www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - events. … About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Events Associated With Hip Joint Replacements
19,000
0.59
MPSMS (2014)
Adverse Events Associated … indicated that in 2012 and 2013, adverse events were less frequent at hospitals that have implemented
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www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - events—such as adverse drug events, falls, and pressure ulcers—occurred. … Incidence of adverse drug events and potential adverse drug events.
Implications for prevention. … Adverse drug events in hospitalized patients. … Adverse events in hospitals: methods for identifying events. Washington, DC: U.S. … Adverse events in hospitals: methods for identifying events. Washington, DC: U.S.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
November 06, 2017 - Events
SAY:
There are four sets of On-Time reports to help prevent four adverse
events: pressure … Commitment to work with a Facilitator to learn how to use
the reports to prevent adverse events … For example, for some adverse
events, the dietitian is an important member of the team
because declining … The reports:
Focus on preventing adverse events.
Are proactive rather than reactive. … Improve root cause analyses when adverse events occur.
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www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
January 01, 2024 - Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids … in Primary Care
Final Progress Report
Reducing Adverse Drug Events from Anticoagulants, Diabetes … STRUCTURED ABSTRACT
Purpose and Scope: Reducing harm from adverse drug events (ADEs) is a national … Emergency Hospitalizations for Adverse
Drug Events in Older Americans. … Trends in adverse events over time: why are we not improving?
BMJ Quality & Safety.
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www.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - year in the US7; 5% experience potential adverse drug
events,8 and 70% of these, or 3.8 million events … drug events (PADEs) and
adverse drug events (ADEs) through a retrospective chart review. … The nature of adverse events in hospitalized patients. … Incidence of adverse events and negligence in hospitalized patients. … drug events (PADEs) and adverse drug events (ADEs) through a retrospective chart review.
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www.ahrq.gov/news/newsletters/e-newsletter/929.html
September 01, 2024 - AHRQ Analysis Shows Progress in Reducing Patient Safety Events . … patients reveals a decline in adverse events since the peak of the COVID-19 pandemic, with a 13-to-15 … percent reduction in adverse events in 2022 compared to 2021. … The report, Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (PDF, 2 MB), was led … Among report highlights: in 2022, 6.2 percent of Medicare patients experienced at least one adverse event
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www.ahrq.gov/es/data/resources/index.html
November 25, 2021 - HCUP Statistical Briefs: Adverse Events
These HCUP Statistical Briefs provide statistics about … adverse events and patient safety-related events in U.S. hospitals. … Topics include infections (CDI and MRSA), adverse drug events (ADEs), and potentially avoidable injuries
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - They decided to use the phrase “negative effects” instead of
“adverse events.” … A pre-
specified list of adverse events and an evidence-based clinical case definition for each AE was … For the self-reported adverse events, two physicians
reviewed patients’ responses from the survey, in … which they provided open-ended responses that
described possible adverse events. … Adverse drug events were the highest type of
adverse event reported by patients and recorded in the
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www.ahrq.gov/research/findings/studies/index.html?page=285
January 01, 2024 - Keywords: Children/Adolescents, Healthcare Cost and Utilization Project (HCUP), Adverse Events, Hospitals … Keywords: Labor and Delivery, Newborns/Infants, Pregnancy, Adverse Events, TeamSTEPPS, Injuries and … In the studied sample, preventable adverse events were identified, including adverse drug events, patient … An electronic trigger based on care escalation to identify preventable adverse events in hospitalised … Keywords: Adverse Events, Cancer, Patient Safety, Risk, Surgery
Bozek DN , Dunn TB , Kuhr
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/vaccination-tracking-tool-userguide.pdf
May 01, 2021 - This is important
because if you are seeing increased adverse events
related to a specific vaccine … This is
important because if you are seeing increased adverse
events related to a specific vaccine … Events by Manufacturer. … Figure 16 – Example Adverse Events pie chart
17
The STAFF_SUMMARY Tab contains an additional … Events following
COVID-19 Vaccine(s).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
January 01, 2004 - Relationship between medication errors and adverse
drug events. … Systems
analysis of adverse drug events. JAMA. 1995
(274):35–43.
9. … Incidence of
adverse events and negligence in hospitalized patients. … Top-priority actions for preventing
adverse drug events in hospitals. … The clinical pharmacist’s role
in preventing adverse drug events.
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www.ahrq.gov/research/findings/studies/index.html?page=94
January 01, 2024 - The association of nursing home characteristics and quality with adverse events after a hospitalization … This study looked at trends in patient characteristics and in-hospital adverse events (AEs) for primary … Time trends in patient characteristics and in-hospital adverse events for primary total knee arthroplasty … Keywords: Surgery, Orthopedics, Adverse Events, Risk
Bierman AS , Wang J , O'Malley PG … Keywords: Elderly, Opioids, Medication, Medication: Safety, Adverse Drug Events (ADE), Adverse Events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
April 28, 2008 - Conclusion: Further research is needed on the
relationship of residency programs to adverse events. … For example, older and sicker patients are often at higher risk for incurring
adverse events.4, 7, 8 … Postoperative
adverse events in teaching and nonteaching hospitals. … Patient risk
factors for adverse drug events in hospitalized
patients. … Hospital ownership
and preventable adverse events. J Gen Intern Med
2000; 15: 211-219.
24.
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www.ahrq.gov/research/findings/studies/index.html?page=247
January 01, 2024 - Keywords: Adverse Drug Events (ADE), Adverse Events, Health Information Technology (HIT), Healthcare … Keywords: Adverse Events, Communication, Medical Liability
Carayon P , Wooldridge A , Hose … Data mining for adverse drug events with a propensity score-matched tree-based scan statistic. … Keywords: Adverse Drug Events (ADE), Adverse Events, Patient Safety, Medication, Medication: Safety, … Keywords: Adverse Drug Events (ADE), Adverse Events, Electronic Health Records (EHRs), Health Information
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - The Canadian Adverse Events Study: The incidence of
adverse events among hospital patients in Canada … Detecting adverse events using information technology. … Adverse Events in Hospitals: Methods for Identifying Events. … Adverse events among children in Canadian hospitals:
The Canadian Paediatric Adverse Events Study. … Adverse events and preventable adverse events in children.
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www.ahrq.gov/patient-safety/reports/liability/index.html
August 01, 2017 - System in the Sanford Health System
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse … Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations for Measurement … Drug Events During Transfer of Care from Hospital to Home
In October 2009, AHRQ launched … Hickson
Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor … Bolkan
Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital
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www.ahrq.gov/research/findings/studies/index.html?page=349
January 01, 2024 - Take-homes from these exercises included the fact that the response to adverse events can be complex, … Improving communication and resolution following adverse events using a patient-created simulation exercise … Keywords: Adverse Events, Communication, Labor and Delivery, Outcomes
Ducoffe AR , York A , … This article focuses on recommendations from the Adverse Drug Events (ADE) Action Plan to help guide … Keywords: Prevention, Opioids, Patient Safety, Ambulatory Care and Surgery, Adverse Drug Events (ADE
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
August 01, 2022 - The grantee reported the following findings about the first 125 adverse events resolved through the communication … events). … Communication-sensitive adverse events (CSAEs). 9 the term “CSAE” was coined by the UW project and defined … The grantee reported findings on four composite scores that measure perinatal adverse events: the Adverse … The thinking was that the DRPs would be utilized by the hospitals to disclose adverse events, and the
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
November 01, 2019 - Events
Improving Antibiotic Use – Patient Safety Issue
AHRQ Safety Program for Improving Antibiotic … Use – Acute Care
5
5
Antibiotic-Associated Adverse Events
In a cohort of ~1,500 hospitalized patients … developed antibiotic-associated adverse events after hospital discharge
Most adverse events had some … Approximately 20% of hospitalized patients develop antibiotic-associated adverse events. … Association of Adverse Events with Antibiotic Use in Hospitalized Patients.
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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - Half of these inpatients experienced one or more adverse events that resulted in a prolonged hospital … events—such as adverse drug events, falls, and pressure ulcers—occurred. … Data for obstetric adverse events come from AHRQ Patient Safety Indicators (PSIs) 18 and 19. … events. … events.